Noble Gastro & Liver Hospital

Esophageal Manometry

Assessing Esophageal Function for a Healthier Tomorrow.

What is it?

Your doctor may recommend esophageal manometry if you’re experiencing symptoms that may indicate an esophageal disorder. The test provides insights into how effectively food is transported through the esophagus and helps identify issues such as:

  • Diffuse Esophageal Spasm: A rare condition marked by multiple, forceful, and poorly coordinated contractions of the esophagus.
  • Achalasia: A condition in which the lower esophageal sphincter fails to relax properly, causing swallowing difficulties and food regurgitation.
  • Scleroderma: A progressive disease that can lead to the muscles in the lower esophagus stopping movement, resulting in severe gastroesophageal reflux.
Gastroesophageal reflux disease (GERD)

If you have difficulty swallowing (dysphagia) or experience pain while swallowing (odynophagia), your doctor may order other tests, such as X-rays, prior to or instead of esophageal manometry to check for obstructions, such as narrowing or inflammation in the esophagus. Additionally, if you’re being considered for anti-reflux surgery for gastroesophageal reflux disease (GERD), esophageal manometry may be necessary to rule out conditions like achalasia, which may not be alleviated by such surgery.

Esophageal manometry is a diagnostic test that assesses the functioning of your esophagus, the muscular tube connecting your throat to your stomach. This test measures the rhythmic contractions of the esophageal muscles during swallowing, as well as the strength and coordination of these contractions as food moves toward the stomach.

During the procedure, a thin, flexible tube equipped with pressure sensors is inserted through your nose and guided down your esophagus into your stomach. This allows the doctor to evaluate the motility of the esophagus and how well the circular muscles (sphincters) at both ends of the esophagus open and close.

Noble Gastro & Liver Hospital

How is it done?

Esophageal manometry is performed in a medical setting by trained professionals. After a brief explanation of the procedure, a thin, flexible tube with pressure sensors is inserted through your nose and guided down your esophagus into your stomach. As you swallow small sips of water, the sensors measure the strength and coordination of your esophageal muscle contractions. The test typically lasts about 30 minutes, after which the tube is removed. You can usually resume normal activities soon after, and your doctor will discuss the results with you to determine the next steps in your diagnosis or treatment plan.

FAQ

Esophageal Manometry

Our Esophageal Manometry FAQs section addresses common questions about the procedure, including its purpose, preparation, and what to expect during and after the test. Whether you’re seeking clarity on why the test is recommended or how it feels, this guide provides concise and informative answers to help you feel more informed and comfortable.

Esophageal manometry is a diagnostic test that measures the pressure and coordination of muscle contractions in the esophagus. It helps evaluate how well the esophagus is functioning and can identify disorders affecting swallowing.

Your doctor may recommend esophageal manometry if you experience symptoms like difficulty swallowing (dysphagia), chest pain not related to heart issues, or if they suspect conditions such as achalasia or diffuse esophageal spasm. The test provides valuable information about esophageal motility.

You will likely be instructed to fast for several hours before the test to ensure accurate results. It's essential to inform your doctor about any medications you take, as some may need to be paused before the procedure.

While the insertion of the tube may cause some discomfort, esophageal manometry is generally not painful. Sedation is not typically required, but if you feel anxious, discuss your concerns with your doctor beforehand.

After the procedure, the tube will be removed, and you can usually resume your normal activities immediately. Your doctor will review the results with you to discuss any findings and potential next steps in your diagnosis or treatment.

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